{"title":"一项纵向研究表明,临床接触牙科就诊加剧了牙科居民的普遍年龄歧视。","authors":"Maya Izumi, Jumpei Kubota, Shinji Yoshii, Sumio Akifusa","doi":"10.1111/ger.70017","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>While clinical training is considered a key strategy for fostering positive attitudes, the impact of exposure to older patients-particularly in home-visit dentistry-on dental residents' attitudes remains unclear. This study examines the effect of clinical training in home-visit dentistry on ageism in dental residents.</p><p><strong>Methods: </strong>A longitudinal single-arm pre-post design was employed. The study was conducted at Kyushu Dental University from April 2024 to March 2025. A total of 63 dental residents participated at baseline. Of these, 36 (57.1%) completed all assessments and were included in the final analysis. Participants completed two validated Japanese instruments: the Fraboni Scale of Ageism (FSA) for general ageism and the Ageism Scale for Dental Students (ASDS) for profession-specific ageism. Assessments were conducted at baseline, 6 months, and 12 months. Participants were categorised by number of home-visit sessions: ≤ 3 or ≥ 4 visits at 6 months, and ≤ 6 or ≥ 7 at 12 months.</p><p><strong>Results: </strong>ASDS scores remained largely stable over a 12-month period (mean difference from baseline to 12 months: +2.0; effect size [ES] = -0.29). In contrast, FSA scores at 6 months (37.0 [23-73], ES = -1.08), and at 12 months (49.0 [25-87], ES = -2.76) were higher than the baseline median of 33.5 [14-42], indicating a very large deterioration in general ageism. FSA scores were even higher among residents with greater exposure to home-visit dentistry.</p><p><strong>Conclusion: </strong>General ageism increased during the clinical training period, particularly among residents with greater exposure to home-visit dentistry. In contrast, profession-specific ageism remained largely unchanged.</p>","PeriodicalId":12583,"journal":{"name":"Gerodontology","volume":" ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Clinical Exposure to Visiting Dental Practice Heightens General Ageism in Dental Residents: A Longitudinal Study.\",\"authors\":\"Maya Izumi, Jumpei Kubota, Shinji Yoshii, Sumio Akifusa\",\"doi\":\"10.1111/ger.70017\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>While clinical training is considered a key strategy for fostering positive attitudes, the impact of exposure to older patients-particularly in home-visit dentistry-on dental residents' attitudes remains unclear. This study examines the effect of clinical training in home-visit dentistry on ageism in dental residents.</p><p><strong>Methods: </strong>A longitudinal single-arm pre-post design was employed. The study was conducted at Kyushu Dental University from April 2024 to March 2025. A total of 63 dental residents participated at baseline. Of these, 36 (57.1%) completed all assessments and were included in the final analysis. Participants completed two validated Japanese instruments: the Fraboni Scale of Ageism (FSA) for general ageism and the Ageism Scale for Dental Students (ASDS) for profession-specific ageism. Assessments were conducted at baseline, 6 months, and 12 months. Participants were categorised by number of home-visit sessions: ≤ 3 or ≥ 4 visits at 6 months, and ≤ 6 or ≥ 7 at 12 months.</p><p><strong>Results: </strong>ASDS scores remained largely stable over a 12-month period (mean difference from baseline to 12 months: +2.0; effect size [ES] = -0.29). In contrast, FSA scores at 6 months (37.0 [23-73], ES = -1.08), and at 12 months (49.0 [25-87], ES = -2.76) were higher than the baseline median of 33.5 [14-42], indicating a very large deterioration in general ageism. FSA scores were even higher among residents with greater exposure to home-visit dentistry.</p><p><strong>Conclusion: </strong>General ageism increased during the clinical training period, particularly among residents with greater exposure to home-visit dentistry. In contrast, profession-specific ageism remained largely unchanged.</p>\",\"PeriodicalId\":12583,\"journal\":{\"name\":\"Gerodontology\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-08-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Gerodontology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/ger.70017\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Gerodontology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/ger.70017","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Clinical Exposure to Visiting Dental Practice Heightens General Ageism in Dental Residents: A Longitudinal Study.
Objective: While clinical training is considered a key strategy for fostering positive attitudes, the impact of exposure to older patients-particularly in home-visit dentistry-on dental residents' attitudes remains unclear. This study examines the effect of clinical training in home-visit dentistry on ageism in dental residents.
Methods: A longitudinal single-arm pre-post design was employed. The study was conducted at Kyushu Dental University from April 2024 to March 2025. A total of 63 dental residents participated at baseline. Of these, 36 (57.1%) completed all assessments and were included in the final analysis. Participants completed two validated Japanese instruments: the Fraboni Scale of Ageism (FSA) for general ageism and the Ageism Scale for Dental Students (ASDS) for profession-specific ageism. Assessments were conducted at baseline, 6 months, and 12 months. Participants were categorised by number of home-visit sessions: ≤ 3 or ≥ 4 visits at 6 months, and ≤ 6 or ≥ 7 at 12 months.
Results: ASDS scores remained largely stable over a 12-month period (mean difference from baseline to 12 months: +2.0; effect size [ES] = -0.29). In contrast, FSA scores at 6 months (37.0 [23-73], ES = -1.08), and at 12 months (49.0 [25-87], ES = -2.76) were higher than the baseline median of 33.5 [14-42], indicating a very large deterioration in general ageism. FSA scores were even higher among residents with greater exposure to home-visit dentistry.
Conclusion: General ageism increased during the clinical training period, particularly among residents with greater exposure to home-visit dentistry. In contrast, profession-specific ageism remained largely unchanged.
期刊介绍:
The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.